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← Document results/DEP Box 09/IAQ REFERRALS TO EPA
Document / 6 pages

WTC Hotline intake form for EPA referrals

Machine-extracted title · confidence 100%

Blank form used by operators to record caller details and environmental concerns for EPA referrals.

NYC-WTC_000147741–000147746

Folder label: “IAQ REFERRALS TO EPA

Page image
Scanned page image, NYC-WTC_000147741
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

Name of OperatokX^^ Date:. Time;.

Category: (circle one)

Environment Cleaning Health Indoor Air

Specific Contaminant School OldWTC Other

Question: Cl

Answer;

Comments:

Caller InformatiewiL;-------- „ „ First Name; PH Last Name: PH Address 1: Apt_ PH Address 2: Borough:

City _j___ State: Zip;

Phone #1L pil Phone #2 C .)

Follow op;

Referral/Follow-Up Needed? (circle one) g) NO

Referral Agency/Organization;

DEP Reference #

NYC-WTC_000147741

OCR can misread numbers and units. Confirm readings against the page image before using them.

NYC-WTC_000147741Source: NYC Law Department, mirrored locally

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